USCDI Export for the Public

Classification Level Sort descending Data Class Data Class Description Data Element Data Element Description Applicable Standards Submitter Name Submitter Organization Submission Date
Level 0 Outcomes Location

Location where adverse event occurred

HL7.org FHIR R4 v4.0

Sandi Mitchell J P Systems, Inc.
Level 0 Outcomes Recorder

Who recorded the adverse event

HL7.org FHIR R4 v4.0

Sandi Mitchell J P Systems, Inc.
Level 0 Outcomes Study

Research study that the subject is enrolled in

HL7.org FHIR R4 v4.0

Sandi Mitchell J P Systems, Inc.
Level 0 Outcomes Participant(s) Who was involved in the adverse event or the potential adverse event and what they did

HL7.org FHIR R4 v4.0

Sandi Mitchell J P Systems, Inc.
Level 0 Outcomes Contributing Factor

Contributing factors suspected to have increased the probability or severity of the adverse event

HL7.org FHIR R4 v4.0

Sandi Mitchell J P Systems, Inc.
Level 0 Encounter Information

Information related to interactions between healthcare providers and a patient.

Reason for the Encounter

Reason the encounter takes place, expressed as a code.

Encounter Status: FHIR Encounter Status: http://hl7.org/fhir/ValueSet/encounter-status Classification of Encounter: V3 Value SetActEncounterCode: http://hl7.org/fhir/ValueSet/v3-ActEncounterCode Encounter Type: FHIR Encounter type: http://www.ama-assn.org/go/cpt Encounter participant type: FHIR Participant type: http://hl7.org/fhir/ValueSet/encounter-participant-type Reason for the encounter: FHIR Encounter Reason Codes: http://hl7.org/fhir/ValueSet/encounter-reason Hospital encounter discharge disposition: FHIR Discharge disposition: http://hl7.org/fhir/ValueSet/encounter-discharge-disposition Expected source(s) of payment for this encounter: FHIR Coverage Type and Self-Pay Codes: http://hl7.org/fhir/R4/valueset-coverage-type.html Encounter chief complaint: FHIR DiagnosisRole: http://hl7.org/fhir/R4/valueset-diagnosis-role.html

Maria Michaels CDC
Level 0 Outcomes Outcome

Outcome of the event – i.e. death, hospitalization, fever

HL7.org FHIR R4 v4.0

Sandi Mitchell J P Systems, Inc.
Level 0 Newborn's Delivery Information Pregnancy Outcome

The result of the subject’s delivery, such as live birth or not a live birth.

LOINC codes exist for each of the proposed data elements:
11884-4: Gestational age Estimated
64710-7: Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX]
9272-6: 1 minute Apgar Score
9274-2: 5 minute Apgar Score
9271-8: 10 minute Apgar Score

73766-8: Place where birth occurred [US Standard Certificate of Live Birth]
• Freestanding birthing center (Freestanding birthing center is defined as one which has no direct physical connection with an operative delivery center.)
• Home birth
• Planned to deliver at home Yes No
• Clinic/Doctor’s Office
• Other (specify, e.g., taxi cab, train, plane, etc.)

8339-4 - Birth weight Measured

Adam Bazer, MPD Integrating the Healthcare Enterprise USA (IHE USA)
Level 0 Newborn's Delivery Information Birth Weight

The weight of the infant/fetus at birth/delivery.

LOINC codes exist for each of the proposed data elements: 11884-4 - Gestational age Estimated 73766-8 - Place where birth occurred [US Standard Certificate of Live Birth] 64710-7 - Was your pregnancy a live birth, stillbirth, miscarriage, abortion, or ectopic pregnancy [PhenX] 8339-4 - Birth weight Measured 8305-5 - Body height --post partum 9272-6 - 1 minute Apgar Score 9274-2 - 5 minute Apgar Score 9271-8 - 10 minute Apgar Score

TICIA Louise GERBER Health Level Seven International
Level 0 Pregnancy Information Number of Prenatal Visits

The total number of prenatal visits for the mother.

LOINC codes exist for each of the proposed data elements:

68493-6: Prenatal visits for this pregnancy #

69044-6: Date first prenatal visit

69461-2 Mother's body weight --at delivery

73772-6 The number of fetal deaths this delivery

73773-4 - Number of infants in this delivery delivered alive

57722-1 - Birth plurality of Pregnancy

Adam Bazer, MPD Integrating the Healthcare Enterprise USA (IHE USA)
Level 0 Pregnancy Information Mother’s Delivery Weight

The weight of the mother at the time of birth/delivery.

LOINC codes exist for each of the proposed data elements:

68493-6: Prenatal visits for this pregnancy #

69044-6: Date first prenatal visit

69461-2 Mother's body weight --at delivery

73772-6 The number of fetal deaths this delivery

73773-4 - Number of infants in this delivery delivered alive

57722-1 - Birth plurality of Pregnancy

Adam Bazer, MPD Integrating the Healthcare Enterprise USA (IHE USA)
Level 0 Pregnancy Information Mother’s Prepregnancy Weight

The weight of the mother before becoming pregnant.

LOINC codes exist for each of the proposed data elements: Last menstrual period start date: 8665-2 Delivery date Estimated: 11778-8 Body weight --pre current pregnancy: 56077-1

Adam Bazer, MPD Integrating the Healthcare Enterprise USA (IHE USA)
Level 0 Pregnancy Information Plurality

The number of fetuses delivered live or dead at any time in the pregnancy regardless of gestational age, or if the fetuses were delivered at different dates in the pregnancy. (“Reabsorbed” fetuses, those which are not “delivered” (expulsed or extracted from the mother) should not be counted.) Include all live births and fetal losses resulting from this pregnancy.

LOINC codes exist for each of the proposed data elements:

68493-6: Prenatal visits for this pregnancy #

69044-6: Date first prenatal visit

69461-2 Mother's body weight --at delivery

73772-6 The number of fetal deaths this delivery

73773-4 - Number of infants in this delivery delivered alive

57722-1 - Birth plurality of Pregnancy

Adam Bazer, MPD Integrating the Healthcare Enterprise USA (IHE USA)
Level 0 Health Status Assessments

Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.

Incontinence

Lack of voluntary control over urination or defecation

LOINC

Holly Miller, MD MedAllies
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

Days Supply

Number of days supply of medication dispensed by the pharmacy.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

Prescription Origin Code

Whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

Refill Number

The number fill of the current dispensed supply (0, 1, 2, etc.).

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

DAW Product Selection Code

Prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

RX Service Reference Number

Identifier assigned by a payer for a claim received from a provider or subscriber. It is not the same identifier as that assigned by a provider. This identifier assigned by the payer becomes the payer's EOB identifier.

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

Mark Roberts Leavitt Partners
Level 0 Explanation of Benefit

Health data as reflected in a patient's Explanation of Benefits (EOB) statements, typically derived from claims and other administrative data.

Procedure Code Type

Indicates if the inpatient institutional procedure (ICD-PCS) is the principal procedure or another procedure

NUBC, CPT, HCPCS, HIPPS, ICD-9, ICD-10, DRGs, NDC, POS, NCPDP codes, and X12 codes.

Mark Roberts Leavitt Partners